Chapter 07 Percutaneous Administration

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Chapter 07  Percutaneous Administration

 

 

Complete Chapter Questions And Answers
 

Sample Questions

 

MULTIPLE CHOICE

1. A patient has an infected wound with large amounts of drainage. Which type of dressing would the nurse use?
a.
Telfa
b.
OpSite
c.
DuoDerm
d.
AlgiDERM

ANS: D
AlgiDERM is manufactured from seaweed and is recommended for infected wounds because it is an exudate absorber. Telfa and OpSite do not absorb exudates. DuoDerm is for light to moderate wound drainage. According to the manufacturer, it does absorb exudates, but it is best for wounds with moderate drainage.

DIF: Cognitive Level: Comprehension REF: Page 83 OBJ: 1
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Tissue Integrity; Infection

2. Where would the nurse apply nitroglycerin ointment on a male patient?
a.
The same site that was previously used
b.
A hairy area of the chest
c.
The upper arm
d.
The back of the knee

ANS: C
Any area without hair may be used. Most people prefer the chest, flank, or upper arm areas. Sites should be rotated. The back of the knee is not suitable for applying medication because of the joint motion and difficulty of keeping a dressing in place.

DIF: Cognitive Level: Comprehension REF: Page 85 OBJ: 3
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

3. Where will the nurse administer a medication that was ordered to be given sublingually?
a.
Between the molar teeth and cheek
b.
Below the skin surface
c.
Under the tongue
d.
Into the conjunctival sac

ANS: C
The sublingual area is underneath the tongue. Between the molar teeth and cheek is the buccal area. Medication administered below the skin surface is intradermal administration. The conjunctival sac is between the eyelids and eyeball.

DIF: Cognitive Level: Knowledge REF: Page 88 OBJ: 5
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

4. Why are sublingual and buccal medications rapidly absorbed?
a.
Their action is localized to the mouth.
b.
They are metabolized in the liver.
c.
Blood flow is diminished in these sites.
d.
These drugs pass directly into systemic circulation.

ANS: D
Sublingual medications are rapidly absorbed into systemic circulation because of the increased blood flow to these areas and avoid the “first pass” effect of the liver where extensive metabolism usually takes place. These routes do not contain drug effects to the oral area and they bypass the liver. These sites are highly vascular.

DIF: Cognitive Level: Comprehension REF: Page 88 OBJ: 5
TOP: Nursing Process Step: Assessment
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

5. Which medications must be sterile?
a.
Topical
b.
Vaginal
c.
Ophthalmic
d.
Nasal

ANS: C
Ophthalmic (eye) medications must be sterile. Topical, vaginal, and nasal applications do not need to be sterile.

DIF: Cognitive Level: Knowledge REF: Page 89 OBJ: N/A
TOP: Nursing Process Step: Implementation
MSC: NCLEX Client Needs Category: Physiological Integrity
NOT: CONCEPT(S): Clinical Judgment; Safety

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